<table width="100%" border="0" cellspacing="2" cellpadding="1">
  <tr>
    <td colspan="5" class="text_size19">Pristine Solutions (Pvt) Ltd.</td>
  </tr>
  <tr>
    <td width="15%">&nbsp;</td>
    <td width="38%">&nbsp;</td>
    <td width="7%">&nbsp;</td>
    <td width="19%">&nbsp;</td>
    <td width="21%">&nbsp;</td>
  </tr>
  <tr>
    <td colspan="5" class="text_size11">No: 130/1, Dehiwala Road, <br /> Borellasgamuwa, Sri Lanka.<br />
			Tel : +94-11-4651175<br />
			Fax : +94-11-2516820</td>
  </tr>
  <tr>
    <td colspan="5">&nbsp;</td>
  </tr>
  <tr>
    <td colspan="5" align="center" valign="top" class="text_size19">Visit Record </td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td class="text_size11_normal" style="border-top: 1px solid #000000;border-left: 1px solid #000000;">Customer</td>
    <td class="text_size11_normal" style="border-top: 1px solid #000000;border-right: 1px solid #000000;">jggjgsdkjfkgjfgki</td>
    <td>&nbsp;</td>
    <td>Record Number </td>
    <td><?php echo $this->event_arr['serial_no']; ?></td>
  </tr>
  <tr>
    <td style="border-bottom: 1px solid #000000;border-left: 1px solid #000000;">&nbsp;</td>
    <td style="border-bottom: 1px solid #000000;border-right: 1px solid #000000;">&nbsp;</td>
    <td>&nbsp;</td>
    <td>Date</td>
    <td><?php echo $this->event_arr['date']; ?></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Time Chargeble </td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Transport Chargeble </td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>Service Agreement </td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td colspan="5"><table width="98%" border="1" cellspacing="1" cellpadding="1">
      <tr>
        <td width="10%" align="center" valign="middle">Activity # </td>
        <td width="60%" align="center" valign="middle">Activity Details </td>
        <td width="10%" align="center" valign="middle">Start Time </td>
        <td width="10%" align="center" valign="middle">End Time </td>
        <td width="10%" align="center" valign="middle">Total Time </td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td><?php echo $this->event_arr['activity']; ?></td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
      </tr>
    </table></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td colspan="5">Customer Notes: </td>
  </tr>
  <tr>
    <td height="105" colspan="5">&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>For Pristine </td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>For Customer </td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td height="35">Name  </td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>Name </td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td height="35">Signature</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>Signature</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td height="35">Date</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>Date</td>
    <td>&nbsp;</td>
  </tr>
</table>